Intersex genital mutilation: How Spain’s Law is failing intersex children

The following is a revised and expanded section from the new spanish edition of the 2019 CCPR Intersex NGO Report for Spain by StopIGM.org and Brújula Intersexual. It further examines the existing Laws and proposed legislative initiatives in Spain and their abysmal failure to effectively protect intersex children.

UPDATE! Based on our Report, CCPR has now put IGM on the “List of Issues prior to Reporting (LOIPR)” for Spain, asking the Government about “measures taken to prohibit” and “access to justice and redress” for IGM survivors. >>> Full Question & Timeline

The Rapporteurs thank Daniel J. García López for his important critical analysis of the Regional Laws leading to this new version.
This blog would further like to thank Amets Suess Schwend for alerting us to Regional Laws and the expiration of the National Initiative.  

In 2018, Spain has already been reprimanded for IGM by the UN Child Rights Committee (CRC). This year, CRC further denounced similarly failing Laws in Malta and Portugal, while CCPR denounced lack of “necessary measures” to “eliminate” IGM in Belgium and Mexico.

                T A B L E   O F   C O N T E N T S :
                IGM in Spain: State-sponsored and pervasive, Gov fails to act
                2. Existing Laws and Legislative Initiatives against IGM
                    a) Overview
                    b) Regional Laws and Initiatives
                           Madrid (2016): No sanctions at all
                           Murcia (2016): No sanctions at all
                           Extremadura, Navarra, Balearic Islands (2015-17): No sanctions at all
                           Andalusia (2018): No sanctions at all
                           Valencia (2018): Some sanctions – but not for IGM
                           Canary Islands (2019): No sanctions so far
                    c) National Initiative (Expired)
                           Original Draft (2018): No sanctions at all
                           Revised Commission Draft (2018): No protections, no sanctions at all
                    d) Contrast: Existing Spanish Laws against FGM
                    Footnotes

IGM in Spain: State-sponsored and pervasive, Gov fails to act

2.  Existing Laws and Legislative Initiatives against IGM

a) Overview

Out of the 17 autonomous Communities in Spain, so far 7 have enacted laws claiming to formally prohibiting or at least restricting IGM practices (Madrid, Murcia, Extremadura, Navarra, Balearic Islands, Andalusia, Valencia), however, only 1 of these laws contains any (minor) sanctions concerning intersex people at all (Valencia), and none of them contain any sanctions for IGM practices, or address obstacles to access to justice, namely the statutes of limitations, or contain extraterritorial protections. In fact, concerning IGM none of them are enforced.

Currently, also the autonomous Community of the Canary Islands is considering a Law proposal, but again without any sanctions.

On the national level, last year a Draft Law was filed in the Spanish Lower House gaining Commission support, however, the Original Draft and the watered-down Commission Draft both didn’t contain any sanctions, or adress obstacles to justice, or extraterritirial protections, and due to the change of the legislative period the proposal expired, .

In contrast, existing Spanish legislation against FGM includes prohibition under Criminal Law, comparatively strong sanctions, preventive measures, extraterritorial protections and mandatory notification by professionals.

b) Regional Laws and Initiatives

Madrid (2016): No sanctions at all

The Community of Madrid has to be commended for being the first to have enacted legislation aimed at preventing IGM practices. Law 2/2016 of the Community of Madrid [13] states in art. 4 (3), “[…] genital surgeries of intersex persons without the informed consent of the person concerned or the need to ensure biological functionality for health reasons, are prohibited in the health services of the Community of Madrid.” Art. 15 titled “Health care for intersex people” further affirms, 1. The public health system in Madrid will ensure the eradication of genital modification practices in newborn babies […] with the exception of medical criteria based on the protection of the newborn’s health and with legal authorisation.”

However, while Madrid’s Law 2/2016 art. 51 “Infractions”, art. 52 “Repeat Offences” and art. 53 “Penalties” have to be lauded for at least including some sanctions for infractions against LGBT persons of up to 45,000 Euros plus possible temporary suspension, they contain no sanctions for IGM (or any other violations against intersex people) at all, as intersex (or “sex characteristics”) is not included in arts. 51-53. Concerning IGM, in practice the Law 2/2016 isn’t enforced (nor its implementation monitored), as also in the Community of Madrid both public and private children’s hospitals openly flaunt the law by continuing to publicly advertise, perform and promote IGM practices (see below p. 12-14) – just the same as in the other autonomous Communities without such a law.

Murcia (2016): No sanctions at all

Similarly, the Community of Murcia has to be commended for being the second to have enacted legislation aimed at preventing IGM practices. Law 8/2016 of the Community of Murcia [14] states in art. 8 (3), It is forbidden in the sanitary services of the Autonomous Community of the Region of Murcia […] the genital surgeries of intersex people that do not obey the decision of the affected person or the need to ensure biological functionality for health reasons.” Art. 16 (2) further affirms, “The public health system of the Region of Murcia will ensure the eradication of the practices of sex assignment in newborn babies attending only to surgical criteria and at a time when the real identity of the newborn intersex person is unknown. All this with the exception of medical criteria based on the protection of the health of the newborn person.”

However, while also Murcia’s Law 8/2016 art. 50 “Infractions”, art. 51 “Repeat Offences” and art. 52 “Penalties” have to be lauded for at least including some sanctions for infractions against LGBT persons of up to 45,000 Euros plus possible temporary suspension, it contains no sanctions for IGM (or any other violations against intersex people) at all, as intersex (or “sex characteristics”) is not included in arts. 50-52. Concerning IGM, in practice the Law 8/2016 isn’t enforced (nor its implementation monitored), as also in the Community of Murcia children’s hospitals openly flaunt the law by continuing to publicly advertise, perform and promote IGM practices (see below p. 12, 13, 15) – just like in the other Communities without such a law.

Extremadura, Navarra, Balearic Islands (2015-17): No sanctions at all

Also the autonomous Communities of Extremadura, [16] Navarra [17] and the Balearic Islands [18] enacted laws containing sections that stipulate to “ensure the eradication of the practices” of involuntary, non-urgent genital surgeries and other procedures on intersex children. Further, these laws stipulate to establish health-care guidelines, including to provide intersex persons and their families with “adequate psychological care”. [19] However, all these laws don’t include any sanctions for IGM (or any other violations against intersex people) at all, and further fail to address obstacles to access to justice, such as the limitation period, as well as extraterritorial protections, as intersex (or “sex characteristics”) is not included in the relevant articles on infractions, repeat offences and sanctions. Concerning intersex people and IGM, these Laws are again not enforced, as all typical forms of IGM practices continue to be practiced in public hospitals with impunity (see below p. 15) – just the same as in the other autonomous Communities without such a law.

Andalusia (2018): No sanctions at all

Further, the autonomous Community of Andalusia [20] enacted a vaguely formulated Law to ensure that the practices of genital modification in newborn babies do not attend only to surgical criteria”, with “exception[s]” only allowed in the case of urgent medical necessity. However, also this Law fails to include any sanctions for IGM (or any other specific violations against intersex people) at all, as intersex (or “sex characteristics”) is not included in the articles on infractions (arts. 60-62), repeat offences (art. 63) and sanctions (art. 64), and further fails to address obstacles to access to justice, such as the limitation period, as well as extraterritorial protections. The only areas where intersex is included is under inciting violence against LGBTI persons and their families” (arts. 60(a), 61(a)+(f), 62(f)), and “LGBTI discrimination (arts. 61(f), 62(d)+(f)). However, concerning intersex people, the Law is not enforced, as IGM practices continue to be incited and practiced with impunity (see below p. 15).

Valencia (2018): Some sanctions – but not for IGM

Also, the Community of Valencia enacted a Law containing a section “People with intersex variations or differences of sex development (DSD)” (arts. 46-50). [15] However, the Law 23/2018 exclusively frames IGM as a “health care” issue (art. 48) under the authority of “reference hospital departments”, i.e. the current perpetrators (art. 49).

Nonetheless, the Valencia Law has to be commended for being the first and only Spanish Law to contain any sanctions for any infractions against intersex people at all, namely

  • a fine of up to 6,000 Euros for “using or issuing abusive speech on the grounds of […] sex development” (art. 60(2a) “Minor Infractions” and 62(1) “Sanctions for Minor Infractions”)
  • a fine of up to 60,000 Euros e.g. for inciting violence against LGBTI persons”, failure to immediately retract […] expressions inciting violence for reasons of [sex development]”, discrimination [in court] on the grounds of […] sex development”, “isolating, rejecting or publicly and notoriously disparaging people because of their […] sex development or their family group”, “in education, portraying persons as inferior or superior on the grounds of […] sex development” (arts. 60(3) “Severe Infractions” and 62(2) “Sanctions for Severe Infractions”)
  • a fine up to 120,000 Euros, e.g. for aggressive or harassing behavior based on a person’s […] sex development”, and refusal of assistance to victims by a person officially obliged to do so (arts. 60(4) “Very Severe Infractions” and 62(3) “Sanctions for Very Severe Infractions”)

However, also the Valencia Law 23/2018 contains no sanctions for IGM at all, and further fails to address obstacles to access to justice, such as the limitation period, as well as extraterritorial protections. What’s more, concerning intersex people and IGM, also Law 23/2018 is not enforced, as IGM continues with impunity.

Canary Islands (2019): No sanctions so far

In May 2019, a Draft Law aimed at preventing IGM practices was presented by the Councillor for Employment, Social Policies and Housing of the autonomous Community of the Canary Islands. [21] Unfortunately, the Draft Law again fails to include any sanctions for IGM (or any other violations against intersex people), and fails to address obstacles to access to justice, such as the limitation period, as well as extraterritorial protections.

c) National Initiative (Expired): Watered down, no sanctions

Original Draft (2018): No sanctions at all

In October 2018, a Draft Law 162/000841 [22] was filed in the Spanish Lower House (Congreso de los Diputados) proposing, in line with the recent CRC recommendations to Spain, to

  • explicitly prohibit unnecessary medical or surgical treatment during childhood to ensure bodily integrity, autonomy and self-determination for affected children”
  • “provide families with intersex children with appropriate counselling and support
  • provide redress to victims of such treatment, including adequate compensation and the fullest possible rehabilitation, and conduct an investigation of incidents of surgical and other medical treatment on intersex children without informed consent”

Notably, the Law Draft failed to include any sanctions, and to address obstacles to access to justice, such as the limitation period, as well as extraterritorial protections.

Revised Commission Draft (2018): No protections, no sanctions at all

In December 2018, the Commission on the Rights of Children and Adolescents of the Spanish Lower House (Comisión de Derechos de la Infancia y Adolescencia del Congreso de los Diputados) approved the modified Draft Law 162/003870 [23] [24] for parliamentary discussion.

Unfortunately, the Commission modifications watered down the original Draft Law, making it no longer in line with the CRC recommendations:

  • First, the Commission discarded all sections concerning access to justice and redress, i.e. the Commission Draft no longer proposed to the Government to adopt a law to “[e]ncourage the adoption of the necessary legislative measures to provide redress to victims of such treatment, including adequate compensation and the fullest possible rehabilitation, and conduct an investigation of incidents”, but now merely proposes tostudy the adoption of the necessary legislative measures to provide reparation and support to the victims of such treatment and to carry out an investigation of incidents”.
  • Second, the Commission Draft added two sections promoting medical self-regulation as a solution (e.g. “adopt protocols to ensure, to the extent possible, the participation of minors in the decision-making process”).

Again, the Commission Draft failed to include any sanctions, to address obstacles to access to justice, such as the limitation period, as well as extraterritorial protections.

Due to a change of the legislative period, in 2019 the law proposal has expired without further parliamentary discussion. [25]

d) Contrast: Existing Spanish Laws against FGM

In contrast, FGM is explicitly forbidden in the Spanish Criminal Code, with sanctions including “imprisonment from six to twelve years” (Organic Act 11/2003, modified article 149.2). Also, extraterritorial protections are established (Organic Act 6/1985, article 23.4, modified by Organic Act 1/2014). Further, Article 158 of the Civil Code, modified by Organic Act 9/2000, allows judges to adopt preventive measures in the case of an imminent risk of genital mutilation. As FGM is considered a crime, professionals aware of an actual or impending incident are therefore subject to mandatory notification (article 450 of the Criminal Code; articles 262 + 355 of the Civil Procedure Act; Organic Act 1/1996). [26]

Footnotes:

[13]    Comunidad de Madrid: Ley 2/2016, 29.03.2016, art. 4, para 3 (prohibition); art. 51 (infractions), art. 52 (repeat offences), art. 53 (sanctions), https://www.boe.es/eli/es-md/l/2016/03/29/2/con

[14]    Comunidad Autónoma de la Región de Murcia: Ley 8/2016, 27.05.2016, art. 8, para 3 (prohibition); art. 50 (infractions), art. 51 (repeat offences), art. 52 (sanctions), https://www.boe.es/eli/es-mc/l/2016/05/27/8/con

[15]    Comunitat Valenciana: Ley 23/2018, 29.11.2018, arts. 46-50, https://www.boe.es/buscar/act.php?id=BOE-A-2019-281

[16]    Comunidad Autónoma de Extremadura: Ley 12/2015, 08.04.2015, art. 11, para 2,
https://www.boe.es/eli/es-ex/l/2015/04/08/12/con

[17]    Comunidad Foral de Navarra: Ley Foral 8/201, 19.06.2017, art. 17, para 1,
https://www.boe.es/eli/es-nc/lf/2017/06/19/8/con

[18]    Comunidad Autónoma de las Illes Balears: Ley 8/2016, 30.05.2016, art. 23, para 2,
https://www.boe.es/eli/es-ib/l/2016/05/30/8/con

[19]    Extremadura law: art. 11, paras 1; Balearic Islands law: art. 23, para 1. The Navarra law: art. 53, instead contains stipulations for guidelines on the “preservations of the gonads” (para 2), to avoid “experimental” and other unnecessary “hormonal treatments” (para 3), “limitation of genital explorations” (para 4), and “respect for privacy” (para 5).

[20]    Junta de Andalucía: Ley 8/2017, 28.12.2018, art. 29, https://www.boe.es/eli/es-an/l/2017/12/28/8/con

[21]    https://www3.gobiernodecanarias.org/noticias/el-gobierno-elabora-en-tiempo-record-el-anteproyecto-de-ley-de-no-discriminacion-por-razon-de-identidad-de-genero/

[22]    See p. 19-20, http://www.congreso.es/public_oficiales/L12/CONG/BOCG/D/BOCG-12-D-445.PDF

[23]    See p. 38-39, http://www.congreso.es/public_oficiales/L12/CONG/BOCG/D/BOCG-12-D-468.PDF

[24]    https://www.europapress.es/epsocial/igualdad/noticia-congreso-pide-gobierno-prohibicion-expresa-mutilacion-genital-menores-intersexuales-20181121193656.html

[25]    http://www.congreso.es/public_oficiales/L12/CONG/BOCG/D/BOCG-12-D-519.PDF

[26]    https://uefgm.org/index.php/legislative-framework-es/

>>> Intersex human rights at the UN are under attack!!!

See also:
‘Only the Fear of the Judge Will Make IGM Perpetrators Change’
“Harmful Medical Practice”: UN, COE, ACHPR, IACHR condem IGM
48 UN Reprimands for IGM – and counting …
UN Committee for the Rights of the Child (CRC): IGM = Harmful Practice + Violence
UN Committee against Torture (CAT): IGM = Inhuman Treatment or Torture
UN Women’s Rights Committee (CEDAW): IGM = Harmful Practice
UN Committee on the Rights of Persons with Disabilities (CRPD): Violation of Integrity
UN Human Rights Committee (HRCttee) condemns IGM Practices

IGM as a Harmful Practice: 2015 UN-CRC Briefing
• IGM: A Survivor’s Perspective • Intersex Movement History
• What are Variations of Sex Anatomy?  • What are IGM Practices?
• IGM and Human Rights  • Conclusion: IGM is a Harmful Practice
>>> Download PDF (3.14 MB)     >>> Table of Contents

Eliminating IGM practices by holding the perpetrators accountable via well-established applicable human rights frameworks, including Inhuman Treatment and Harmful Practices – Presentation @ UN expert meeting on Intersex Human Rights
>>> Download PDF (831kb)

Mutilations génitales intersexes : l’ONU réprimande la Belgique et le Mexique

[ English ]


Photo: CCPR 127, en occasion de la réunion du Comité avec les ONG, Palais Wilson, Genéve 15.10.2019

Zwischengeschlecht.org on FacebookIGM = Torture, NOT 'Discrimination' or 'Gender Identity'Lors de sa 127ème session à Genève, le Comité des droits de l’homme des Nations Unies (HRCttee), en tant qu’organe chargé de surveiller l’application du Pacte international relatif aux droits civils et politiques (CCPR), a examiné la situation des droits humains en Belgique et au Mexique en questionnant les deux États spécifiquement sur les ” mutilations génitales intersexes “. Les deux États parties ont nié avec véhémence l’évidence et ont tenté de changer de sujet, passant des MGI à ” discrimination “, ” soins de santé trans et inter spécifiques “ ou ” conditions de genre, identité sexuelle, orientation sexuelle ” et ” maladies de la différenciation sexuelle “.

Les défenseurs de droits des personnes intersexes se félicitent que le Comité ait désormais condamné sans équivoque les pratiques de MGI en Belgique et au Mexique comme une violation grave des droits humains non dérogeables, notamment en faisant explicitement référence à l’article 7 du CCPR non dérogeable qui couvre les traitements cruels, inhumains ou dégradants relevant de l’interdiction absolue de la torture, ainsi que les expérimentations médicales ou scientifiques non consenties, et oblige les deux Etats à prendre toutes ” mesures nécessaires “ pour ” éliminer “ les pratiques de MGI.

Ces dernières condamnations des pratiques de MGI par un organe de traité de l’ONU marquent
• déjà la 2e réprimande pour MGI pour la Belgique et le Mexique,
• les 3e et 4e réprimandes pour MGI par le CCPR,
• maintenant 48 réprimandes de l’ONU condamnant les MGI comme une violation grave des droits de l’homme non dérogeables.

Les ONG intersexes StopIGM.org, Intersex Belgium, Brújula Intersexual et Vivir y Ser Intersex ont soumis des preuves substantielles des pratiques actuelles des deux pays, ce qui a amené le CCPR à se saisir de cette affaire.

Vous trouverez ci-dessous la version intégrale des recommandations exécutoires concernant les droits humains des personnes intersexes pour la Belgique et le Mexique, ainsi que des liens vers les preuves soumises au Comité et vers les démentis et excuses choquants des deux États lorsque le Comité les a questionnés à Genève :

Belgique

2019 CCPR Belgium NGO Intersex IGMIGM in Belgium: 2019 CCPR Report
Human Rights Violations Of Children With Variations Of Reprod. Anatomy
IGM in Belgium • Complicity of the State • Inhuman Treatment
>>> Download as PDF (581 kb)

>>> CCPR127 Belgium: Full Session Report, Transcripts, Videos
>>> CCPR Timeline Belgium 2019

Belgique: Recommandations exécutoires intersexes CCPR127
>>> Télécharger les observations finales complètes:
CCPR/C/BEL/CO/6, paras 21-22

[Version provisoire non éditée]

[…] intersexualité

21. Le Comité note avec préoccupation que des enfants présentant des variations intersexuelles à la naissance subissent parfois des actes médicaux invasifs et irréversibles visant à leur attribuer un sexe, que ces actes se fondent souvent sur une vision stéréotypée des rôles dévolus à chaque sexe et qu’ils sont pratiqués avant que les intéressés soient en âge de donner leur consentement librement et en toute connaissance de cause (art. 3, 7, 9, 17, 24 et 26).

22. L’État partie devrait prendre des mesures nécessaires pour mettre fin aux actes médicaux irréversibles, en particulier aux opérations chirurgicales, pratiqués sur des enfants intersexués, qui ne sont pas encore capables de donner leur consentement librement et en toute connaissance de cause, sauf lorsque de telles interventions sont absolument nécessaires du point de vue médical.

Mexique

2018 CRC Italy NGO (for PSWG) Intersex IGMIGM in Mecico: 2019 CCPR Report
Human Rights Violations Of Children With Variations Of Repr. Anatomy
IGM in Mexico • Complicity of the State • Inhuman Treatment
>>> Download as PDF (636 kb) | Español (670 kb) 

>>> CCPR127 Mexico: Full Session Report, Transcripts, Videos
>>> CCPR Timeline Mexico 2019

Mexique: Recommandations exécutoires intersexes CCPR127
>>> Télécharger les observations finales complètes:
CCPR/C/MEX/CO/6, paras 12-13

[Traduction non officielle de l’espagnol original]

12. […] Malgré les explications fournies par la délégation de l’État partie, le Comité est préoccupé par les informations faisant état d’interventions médicales irréversibles et invasives sur des enfants intersexués (art. 2, 6, 7, 17 et 26).

13. L’État partie devrait intensifier ses efforts pour lutter contre les stéréotypes et les préjugés à l’égard des personnes […] intersexuées et pour faire en sorte que les actes de discrimination et de violence à leur égard soient évités. Il devrait également s’orienter vers l’élimination du traitement médical irréversible, en particulier le traitement chirurgical des enfants intersexués, qui ne sont pas encore en mesure de donner leur consentement libre et pleinement informé, à moins que ces procédures ne soient absolument médicalement nécessaires.

>>> StopIGM.org > Pages françaises

Intersex Genital Mutilation: UN-CCPR reprimands Belgium, Mexico

[ Français ]


Photo: Nonviolent Intersex Protest @ UNHRC UPR #14, Geneva 20.10.2012

Zwischengeschlecht.org on FacebookIGM = Torture, NOT 'Discrimination' or 'Gender Identity'During its 127th Session in Geneva, the UN Human Rights Committee (HRCttee) as the Treaty body monitoring the implementation of the International Covenant on Civil and Political Rights (CCPR) examined the human rights record of Belgium and Mexico, questioning both States specifically on “intersex genital mutilation”. Both State parties vehemently denied the obvious, and tried to change the subject from IGM to “discrimination”, “trans and inter-specific health care” or “conditions of gender, sexual identity, sexual orientation” and “diseases of sexual differentiation”.

Intersex advocates welcome that the Committee now unmistakably condemned IGM practices in both Belgium and Mexico as a serious violation of non-derogable human rights, including by explicitly referring to the non-derogable CCPR art. 7 covering cruel, inhuman or degrading treatment falling under the absolute prohibition of torture, as well as non-consensual medical or scientific experimentation, and obliging both States to take all “necessary measures” to “eliminate” IGM practices.

These latest reprimands for IGM practices by a UN treaty body mark
• already the 2nd reprimand for IGM for both Belgium and Mexico,
• the 3rd and 4th reprimand for IGM by CCPR,
• now 48 UN reprimands condemning IGM as a serious violation of non-derogable human rights.

Intersex NGOs StopIGM.org, Brújula Intersexual, Vivir y Ser Intersex and Intersex Belgium have been submitting substantial evidence of ongoing IGM practices in both countries, resulting in CCPR taking up the issue.

Please find below the full binding intersex recommendations for both Belgium and Mexico, as well as links to the evidence submitted to the Committee and to the shocking denials and excuses of both States when questioned by the Committee in Geneva:

Belgium

2019 CCPR Belgium NGO Intersex IGMIGM in Belgium: 2019 CCPR Report
Human Rights Violations Of Children With Variations Of Reprod. Anatomy
IGM in Belgium • Complicity of the State • Inhuman Treatment
>>> Download as PDF (581 kb)

>>> CCPR127 Belgium: Full Session Report, Transcripts, Videos
>>> CCPR Timeline Belgium 2019

Belgium: Full Binding CCPR127 Intersex Recommendations
>>> Download Full Concl Obs:
CCPR/C/BEL/CO/6, paras 21-22

[Unofficial translation from original French]

[…] intersex

21. The Committee notes with concern that children with intersex variations at birth may undergo invasive and irreversible medical procedures aimed at assigning them to a sex, that these procedures are often based on a stereotypical view of the roles of the sexes and that they are performed before they are of age to give their free and informed consent (arts. 3, 7, 9, 9, 17, 24 and 26).

22. The State party should take the necessary measures to put an end to irreversible medical procedures, in particular surgical procedures, performed on intersex children who are not yet able to give their free and informed consent, except where such procedures are absolutely medically necessary.

Mexico

2018 CRC Italy NGO (for PSWG) Intersex IGMIGM in Mecico: 2019 CCPR Report
Human Rights Violations Of Children With Variations Of Repr. Anatomy
IGM in Mexico • Complicity of the State • Inhuman Treatment
>>> Download as PDF (636 kb) | Español (670 kb) 

>>> CCPR127 Mexico: Full Session Report, Transcripts, Videos
>>> CCPR Timeline Mexico 2019

Mexico: Full Binding CCPR127 Intersex Recommendations
>>> Download Full Concl Obs:
CCPR/C/MEX/CO/6, paras 12-13

[Unofficial translation from original Spanish]

12. […] Despite the explanation provided by the State party’s delegation, the Committee is concerned about reports of irreversible and invasive medical interventions on intersex children (arts. 2, 6, 7, 17 and 26).

13. […] The State party should increase its efforts to combat stereotypes and prejudices against […] intersex persons and to ensure that acts of discrimination and violence against them are prevented. It should also move towards the elimination of irreversible medical treatment, in particular surgical treatment of intersex children, who are not yet in a position to give fully informed and free consent, unless such procedures are absolutely medically necessary.

>>> Intersex human rights at the UN are under attack!!!

See also:
‘Only the Fear of the Judge Will Make IGM Perpetrators Change’
“Harmful Medical Practice”: UN, COE, ACHPR, IACHR condem IGM
48 UN Reprimands for IGM – and counting …
UN Committee for the Rights of the Child (CRC): IGM = Harmful Practice + Violence
UN Committee against Torture (CAT): IGM = Inhuman Treatment or Torture
UN Women’s Rights Committee (CEDAW): IGM = Harmful Practice
UN Committee on the Rights of Persons with Disabilities (CRPD): Violation of Integrity
UN Human Rights Committee (HRCttee) condemns IGM Practices

IGM as a Harmful Practice: 2015 UN-CRC Briefing
• IGM: A Survivor’s Perspective • Intersex Movement History
• What are Variations of Sex Anatomy?  • What are IGM Practices?
• IGM and Human Rights  • Conclusion: IGM is a Harmful Practice
>>> Download PDF (3.14 MB)     >>> Table of Contents

Eliminating IGM practices by holding the perpetrators accountable via well-established applicable human rights frameworks, including Inhuman Treatment and Harmful Practices – Presentation @ UN expert meeting on Intersex Human Rights
>>> Download PDF (831kb)

Genève > Lettre ouverte à Mauro Poggia concernant des données sur les mutilations génitales intersexes aux HUG


Photo: « HALTE aux Mutilations Génitales Intersexes aux HUG ! » Manif intersexe nonviolente
par StopIGM.org, Genève 26 Octobre 2019   #IAD2019

StopIGM.org on Facebook >>> Lettre comme PDF 

Monsieur Mauro Poggia, Conseiller d’Etat chargé du département de la sécurité,
de l’emploi et de la santé (DSES)
Par courrier électronique

Zurich, 5 novembre 2019

Lettre ouverte concernant des données
sur les mutilations génitales intersexes aux HUG

Monsieur,

C’est avec un vif intérêt que nous avons lu dans la Tribune de Genève[1] votre appel à vous saisir avec des informations concrètes sur la pratique des mutilations sur des enfants intersexes aux HUG, pour laquelle la Suisse a été condamnée à quatre reprises par divers organes de l’ONU.[2]

Nous aimerions rappeler les faits documentés suivants : à la Commission des Droits de l’Homme (droits de la personne) les HUG ont insisté pour dire que les pratiques de MGI ont été complètement abandonnées depuis 2012, « en tout cas dans la période de la petite enfance ».[3] Pourtant les mutilations sont toujours annoncées sur le site des HUG : « L’âge idéal pour réaliser l’opération se situe entre 1 et 2 ans. »[4] ; d’autre part dans une thèse récente de l’UNIGE un chirurgien pédiatrique des HUG, l’a illustrée par des photos chirurgicales de petits organes génitaux d’enfants mutilés.[5]

Enfin, si vous souhaitez vraiment connaître la vérité sur « plus d’interventions chirurgicales aux HUG depuis 2012 », nous vous prions d’intervenir auprès des HUG afin qu’ils divulguent les données des traitements et de demander à l’assurance invalidité[6] de vous fournir des données pertinentes à partir de 2010 concernant les HUG, et ventilées comme suit :
– année
– nombre pertinent selon la « Liste des infirmités congénitales » [7]
– diagnostic
– type de chirurgie
– l’âge au moment de la chirurgie

De telles données ventilées basées sur les procédures actuelles des HUG avant et après 2012 fourniraient certainement plus d’informations concrètes sur la pratique actuelle, pour ne pas dire des faits avérés nécessitant une intervention comme vous l’avez dit à la Tribune de Genève.

Nous vous remercions de l’attention que vous apporterez à notre demande, et n’hésitez pas à nous contacter pour toute information complémentaire.

Avec nos respectueuses salutations,

Daniela Truffer, Markus Bauer

[1]      Le conseiller d’État chargé de la Santé, Mauro Poggia, s’est emporté: «Si ces opérations ont toujours lieu, pourquoi ne pas me saisir avec des informations concrètes? S’il y a des faits avérés, nous interviendrons avec toute la sévérité qui s’impose.» https://www.tdg.ch/geneve/actu-genevoise/mutilations-intersexes-eclaircissements-demandes/story/13258481

[2]      CRC/C/CHE/CO/2-4, paras 42-43; CAT/C/CHE/CO/7, para 20; CEDAW/C/CHE/CO/4-5, paras 24-25; CCPR/C/CHE/CO/4, paras 24-25

[3]      Commission des Droits de l’Homme (droits de la personne) du Grand Conseil de Genève (2018), V. Audition du Dr Jacques Birraux, chirurgien pédiatrique, le 29 novembre 2018, p. 35, http://ge.ch/grandconseil/data/texte/M02491A.pdf

[4]      Pour des références et plus d’exemples, voir Soumission StopIGM.org au Grand Conseil (26.9.2018), p. 8-9, http://stop.genitalmutilation.org/public/StopIGM-Geneve-M2491-mutilations-personnes-intersexes.pdf

[5]      Jacques Maurice Birraux, Thèse (2018) : « Management of disorders of sexual development: state of the art – a surgeon’s perspective of western Switzerland », p. 37, 33-35 dans la thèse, p. 40, 30-32 en PDF, https://archive-ouverte.unige.ch/unige:103975

[6]      Comme la plupart des interventions chirurgicales pratiquées par les HUG sont remboursées par l’assurance invalidité, il existe une trace écrite de tous les cas pertinents aux deux endroits.

[7]      « Liste des infirmités congénitales » https://www.admin.ch/opc/fr/classified-compilation/19850317/index.html#app1ahref1
Les chiffres les plus pertinents concernant les mutilations d’enfants intersexes :
352. Hypospadias et épispadias
359. Hermaphrodisme vrai et pseudohermaphrodisme
465. Troubles congénitaux de la fonction des glandes surrénales (syndrome adréno-génital et insuffisance surrénale)
466. Troubles congénitaux de la fonction des gonades (malformation des gonades, anorchie, syndrome de Klinefelter et résistance androgénique; voir aussi ch. 488)

Pour une liste complete des chiffres pertinents, voir http://blog.zwischengeschlecht.info/pages/Kosmetische-Genitaloperationen-Ziffern-Liste-der-Geburtsgebrechen

>>> StopIGM.org > Pages françaises

Manif Genève 26.10. : HALTE aux Mutilations Génitales Intersexes aux HUG !

[ Deutsch ]   [ English ]

>>> Le dépliant pour la manif | PDF (179 kb)


Photo: Manif intersexe nonviolente par StopIGM.org, Genève 25 Janvier 2009   #CEDAW43

StopIGM.org on Facebook Communiqué de presse de StopIGM.org du 21.10.2019

IGM = CRIME, Not 'Health Care' or 'Therapy'!Le 26 octobre, les personnes intersexes, les survivant-e-s des mutilations génitales, leurs partenaires, leurs familles, leurs ami-e-s et leurs allié-e-s du monde entier célébreront la Journée de sensibilisation aux intersexes (Intersex Awareness Day) pour commémorer la toute première manifestation intersexe qui a eu lieu le 26 octobre 1996 à Boston contre le Congrès annuel de l’Académie américaine de pédiatrie (AAP), pour en finir avec les mutilations génitales intersexes (MGI).

A l’occasion de cette journée le groupe de défense des droits humains StopIGM.org, active à Genève depuis 2008, organise deux veilles pacifiques pour protester contre la continuation des MGI aux HUG

  • de 11h à 14h devant les HUG qui continuent à pratiquer des mutilations génitales intersexes malgré les condamnations par la Commission nationale d’éthique (NEK-CNE) et par les Comités de l’ONU : CRC, CEDAW, CAT, CCPR, CRPD, et les Motions 2491 et 2541 du Grand Conseil Genevois
  • de 15h à 16h sur la Place des Nations pour célébrer bientôt 50 condamnations de l’ONU pour les MGI

En public, les HUG insistent pour dire que les pratiques MGI sont complètement abandonnées depuis 2012 « en tout cas dans la période de la petite enfance »,[1] mais refusent néanmoins de divulguer des données sur les procédures pertinentes.[2] En même temps, les HUG annoncent les pratiques MGI sur leur site : «  L’âge idéal pour réaliser l’opération se situe entre 1 et 2 ans. »,[3] et aussi dans une récente thèse UNIGE d’un chirurgien pédiatrique des HUG, illustrées par des photos chirurgicales de petits organes génitaux d’enfants mutilés.[4]

Jusqu’à aujourd’hui, les enfants présentant des variations du développement sexuel subissent des mutilations génitales intersexes (MGI), y compris des chirurgies génitales « masculinisantes » ou « féminisantes », des procédures de stérilisation et d’autres traitements non consentis, inutiles et irréversibles, généralement pratiquées avant l’âge de 2 ans, et de plus payés en Suisse par l’assurance invalidité (AI). Bien que les personnes concernées s’expriment et déplorent depuis des décennies des douleurs et des souffrances aiguës, physiques et mentales causées par ces interventions, qui sont toujours pratiquées sans preuve de bénéfice pour les enfants concernés.

Ces mutilations continuent aussi aux HUG avec impunité, bien que deux récentes Motions 2491 et 2541[5] au Grand Conseil de Genève demandent une interdiction de la pratique, que la Commission nationale d’éthique (NEK-CNE) a condamné la pratique et que l’ONU ait déjà condamné quatre fois la Suisse pour les mutilations génitales intersexes : le Comité des droits de l’enfant (CRC) et le Comité contre la torture (CAT) en 2015, le Comité pour l’élimination de la discrimination à l’égard des femmes (CEDAW) en 2016, et le Comité des droit humains (CCPR) en 2017, qui ont tous condamné les MGI comme pratiques préjudiciables, traitement inhumain et expérimentation médicale ou scientifique non consentie.[6]

StopIGM.org : Qui sommes-nous ?

StopIGM.org, fondé en 2007, est une ONG internationale de défense des droits humains des personnes intersexes basée en Suisse, dirigée par des personnes intersexes, leurs partenaires, familles et ami-e-s.[7] Selon sa charte,[8] StopIGM.org s’efforce de sensibiliser sur la thématique, de mettre fin aux violations des droits humains infligées aux personnes intersexes et de soutenir les personnes concernées qui cherchent réparation et justice.

StopIGM.org présente régulièrement des rapports sur les violations des droits humains dans différents pays aux Comités de l’ONU concernés, souvent en collaboration avec des personnes et organisations intersexes locales,[9] contribuant de manière décisive aux 46 Observations finales des organes de traités reconnaissant MGI comme une violation grave des droits humains non-dérogeables.[10]

En Suisse, StopIGM.org a initié ou soutenu des initiatives politiques dans les Cantons de Zurich, Berne, Bâle, Lucerne et Genève, ainsi qu’au Conseil National et au Conseil des Etats, menant à la prise de position de la Commission nationale d’éthique dans le domaine de la médecine humaine (NEK-CNE) et un projet de recherche du Fonds national suisse de la recherche scientifique (FNS) sur l’historique des traitements sur les enfants présentant des variations du développement sexuel.[11]

A Genève, StopIGM.org est actif depuis 2008.[12] [13] [14] [15] [16]

StopIGM.org exige l’interdiction des chirurgies génitales forcées sur les enfants et les adolescents avec une variation de l’anatomie reproductive et “Les droits humains pour les hermaphrodites aussi!”

Les personnes concernées décideront plus tard par elles-mêmes, si elles veulent ou non des interventions chirurgicales, et si oui, lesquelles. Le délai de prescription doit être adapté de manière à ce que les survivant-e-s adultes des MGI puissent porter plainte.

Cordialement

Daniela “Nella” Truffer, Markus Bauer
Membres fondateurs de l’ONG internationale StopIGM.org

Mobile +41 (0) 76 398 06 50
Mobile +41 (0) 78 829 12 60

presse_at_zwischengeschlecht.info

StopIGM.org en français: http://zwischengeschlecht.org/post/Pages-Francaises

[1]  Commission des Droits de l’Homme (droits de la personne) du Grand Conseil de Genève (2018), V. Audition du Dr Jacques Birraux, chirurgien pédiatrique, le 29 novembre 2018, p. 35, http://ge.ch/grandconseil/data/texte/M02491A.pdf

[2]  « Même si cela semble absurde, nous n’avons pas de chiffres, souligne le Docteur Jacques Birraux. Nous aurons besoin d’une décennie pour avoir des chiffres suisses. », 20minutes (18.04.2019), https://www.20min.ch/ro/news/geneve/story/Un–gigantesque-pas-en-avant–pour-les-intersexes-26455395

[3]  Pour des références et plus d’exemples, voir Soumission StopIGM.org au Grand Conseil (26.9.2018), p. 8-9,http://stop.genitalmutilation.org/public/StopIGM-Geneve-M2491-mutilations-personnes-intersexes.pdf

[4]  Jacques Maurice Birraux, Thèse (2018) : « Management of disorders of sexual development: state of the art – a surgeon’s perspective of western Switzerland », p. 37, 33-35 dans la thèse, p. 40, 30-32 en PDF,
https://archive-ouverte.unige.ch/unige:103975

[5]  Motion 2491 « pour en finir avec les mutilations des personnes intersexes », http://ge.ch/grandconseil/search?search=2491
Motion 2541 « Plus jamais de mutilations pratiquées sur des personnes intersexes », http://ge.ch/grandconseil/search?search=2541

[6]  CRC/C/CHE/CO/2-4, paras 42–43; CAT/C/CHE/CO/7, para 20; CEDAW/C/CHE/CO/4-5, paras 24-25; CCPR/C/CHE/CO/4, paras 24-25

[7]  Pages françaises: http://zwischengeschlecht.org/post/Pages-Francaises
English pages: http://stop.genitalmutilation.org/
Seiten auf Deutsch: https://Zwischengeschlecht.org/

[8]  http://Zwischengeschlecht.org/post/Statuten

[9]  http://intersex.shadowreport.org

[10]  http://stop.genitalmutilation.org/post/IAD-2016-Soon-20-UN-Reprimands-for-Intersex-Genital-Mutilations

[11]  http://www.snf.ch/fr/pointrecherche/newsroom/Pages/news-161010-communique-de-presse-le-traitement-des-personnes-intersexuees-revisite.aspx

[12]  Le Matin Dimanche (17.05.2008), Geneviève Comby, « Les médecins ont décidé que je serai une fille », http://asso.orfeo.free.fr/17052008-suisse/

[13]  Tribune de Genève (30.01.2009), Hermaphrodisme, faut-il se soumettre au bistouri?, https://www.amge.ch/2009/01/30/hermaphrodisme-faut-il-se-soumettre-au-bistouri/

[14]  rts.ch, Le Journal (11.10.2009), Le droit de choisir, https://www.rts.ch/play/tv/19h30/video/en-suisse-un-enfant-sur-deux-mille-nat-intersexuel-un-cas-rare-que-defendent-certaines-associations?id=1470680

[15]  Tribune de Genève (02.08.2015), Caroline Zuercher, « Les docteurs ne pouvaient pas dire si j’étais un garçon ou une fille », https://www.tdg.ch/suisse/docteurs-pouvaient-j-garcon-fille/story/16092478

[16]  http://zwischengeschlecht.org/post/Pages-Francaises

>>> Le dépliant pour la manif | PDF (179 kb)

>>> StopIGM.org > Pages françaises

Intersex Awareness Day 2019: Protest against Intersex Genital Mutilations at Geneva University Hospitals (HUG)

[ Français ]   [ Deutsch ]


Photo: Nonviolent intersex protest by StopIGM.org, Geneva 2 February 2009   #CEDAW43

IGM = CRIME, Not 'Health Care' or 'Therapy'!Zwischengeschlecht.org on FacebookOn 26 October, intersex people, IGM survivors, partners, families, friends and allies around the globe celebrate Intersex Awareness Day (IAD), commemorating the very first INTERSEX PROTEST in Boston in 1996 against the annual convention of the American Academy of Pediatrics (AAP), and in support of over 25 Years of Organised Struggle to End INTERSEX GENITAL MUTILATIONS (IGM).

On the occasion of this year’s Intersex Awareness Day, on October 26 the human rights group StopIGM.org, active in Geneva since 2008, is organising two peaceful vigils to protest the persistence of IGM practices at the Geneva University Hospitals (HUG).

  • from 11am to 2pm in front of the HUG who continue to practice intersex genital mutilation despite condemnations by the National Ethics Commission (NEK-CNE) and the UN Committees CRC, CEDAW, CAT, CCPR, CRPD, and Motions 2491 and 2541 of the Grand Council of the Canton of Geneva

In public, the HUG insist that IGM practices have been completely abandoned since 2012 “at least in the period of early childhood”,[1] but nevertheless refuse to disclose data on relevant procedures.[2] At the same time, the HUG advertise IGM practices on their website: “The ideal age for performing the surgery is between 1 and 2 years. “,[3] and also in a recent Geneva University thesis by a paediatric surgeon from the HUG, illustrated by surgical photos of small genitalia of mutilated children[4].

To this day, children with variations of sex development are submitted to intersex genital mutilation (IGM), including “masculinising” or “feminising” genital surgery, sterilising procedures and other non-consensual, unnecessary and irreversible treatments, usually performed before the age of 2, and paid for by the Swiss Federal Invalidity Insurance (IV) in Switzerland. Although the people concerned have been protesting and deploring for decades the severe physical and mental pain and suffering caused by these interventions, which continue to be practiced without proof of benefit for the children concerned.

These mutilations also continue at the HUG with impunity, in spite of two recent Motions 2491 and 2541[5] at the Grand Council of the Canton of Geneva calling for a ban on the practice, the National Ethics Commission (NEK-CNE) having condemned the practice and the UN having already condemned Switzerland four times for intersex genital mutilation: the Committee on the Rights of the Child (CRC) and the Committee against Torture (CAT) in 2015, the Committee on the Elimination of Discrimination against Women (CEDAW) in 2016, and the Human Rights Committee (CCPR) in 2017, all of them condemning IGM as a harmful practice, inhuman treatment and non-consensual medical or scientific experimentation.[6]

StopIGM.org : Who are we?

StopIGM.org, founded in 2007, is an international intersex human rights NGO based in Switzerland, led by intersex people, their partners, families and friends.[7] According to its charter,[8] StopIGM.org is working to raise awareness, end human rights violations against intersex people and support those seeking redress and justice.

StopIGM.org regularly submits reports on human rights violations in different countries to the relevant UN Committees, often in collaboration with local intersex individuals and organisations,[9] making a decisive contribution to the currently 46 Concluding Observations of UN Treaty bodies recognising IGM as a serious violation of non-derogable human rights[10].

In Switzerland, StopIGM.org initiated or supported political initiatives in the Cantons of Zurich, Bern, Basel, Lucerne and Geneva, as well as in the National Council and the Council of States, resulting in the adoption of a position by the National Advisory Commission on Biomedical Ethics (NEK-CNE) and a research project of the Swiss National Science Foundation (SNSF) on the historical treatment for children with variations of sex development[11].

In Geneva, StopIGM.org has been active since 2008.[12][13][14][15][16]

[1]  Commission des Droits de l’Homme (droits de la personne) du Grand Conseil de Genève (2018), V. Audition du Dr Jacques Birraux, chirurgien pédiatrique, le 29 novembre 2018, p. 35, http://ge.ch/grandconseil/data/texte/M02491A.pdf

[2]  « Même si cela semble absurde, nous n’avons pas de chiffres, souligne le Docteur Jacques Birraux. Nous aurons besoin d’une décennie pour avoir des chiffres suisses. », 20minutes (18.04.2019), https://www.20min.ch/ro/news/geneve/story/Un–gigantesque-pas-en-avant–pour-les-intersexes-26455395

[3]  Pour des références et plus d’exemples, voir Soumission StopIGM.org au Grand Conseil (26.9.2018), p. 8-9, http://stop.genitalmutilation.org/public/StopIGM-Geneve-M2491-mutilations-personnes-intersexes.pdf

[4]  Jacques Maurice Birraux, Thèse (2018) : « Management of disorders of sexual development: state of the art – a surgeon’s perspective of western Switzerland », p. 37, 33-35 dans la thèse, p. 40, 30-32 en PDF, https://archive-ouverte.unige.ch/unige:103975

[5]  Motion 2491 « pour en finir avec les mutilations des personnes intersexes », http://ge.ch/grandconseil/search?search=2491
Motion 2541 « Plus jamais de mutilations pratiquées sur des personnes intersexes », http://ge.ch/grandconseil/search?search=2541

[6]  CRC/C/CHE/CO/2-4, paras 42–43; CAT/C/CHE/CO/7, para 20; CEDAW/C/CHE/CO/4-5, paras 24-25; CCPR/C/CHE/CO/4, paras 24-25

[7]  Pages françaises: http://zwischengeschlecht.org/post/Pages-Francaises
English pages: http://stop.genitalmutilation.org/
Seiten auf Deutsch: https://Zwischengeschlecht.org/

[8]  http://Zwischengeschlecht.org/post/Statuten

[9]  http://intersex.shadowreport.org

[10]  http://stop.genitalmutilation.org/post/IAD-2016-Soon-20-UN-Reprimands-for-Intersex-Genital-Mutilations

[11]  http://www.snf.ch/fr/pointrecherche/newsroom/Pages/news-161010-communique-de-presse-le-traitement-des-personnes-intersexuees-revisite.aspx

[12]  Le Matin Dimanche (17.05.2008), Geneviève Comby, « Les médecins ont décidé que je serai une fille », http://asso.orfeo.free.fr/17052008-suisse/

[13]  Tribune de Genève (30.01.2009), Hermaphrodisme, faut-il se soumettre au bistouri?, https://www.amge.ch/2009/01/30/hermaphrodisme-faut-il-se-soumettre-au-bistouri/

[14]  rts.ch, Le Journal (11.10.2009), Le droit de choisir, https://www.rts.ch/play/tv/19h30/video/en-suisse-un-enfant-sur-deux-mille-nat-intersexuel-un-cas-rare-que-defendent-certaines-associations?id=1470680

[15]  Tribune de Genève (02.08.2015), Caroline Zuercher, « Les docteurs ne pouvaient pas dire si j’étais un garçon ou une fille », https://www.tdg.ch/suisse/docteurs-pouvaient-j-garcon-fille/story/16092478

[16]  http://zwischengeschlecht.org/post/Pages-Francaises

See also:
46 UN Reprimands for IGM – and counting …
“Harmful Medical Practice”: UN, COE, ACHPR, IACHR condem IGM
UN Committee for the Rights of the Child (CRC): IGM = Harmful Practice + Violence
UN Committee against Torture (CAT): IGM = Inhuman Treatment or Torture
UN Women’s Rights Committee (CEDAW): IGM = Harmful Practice
UN Committee on the Rights of Persons with Disabilities (CRPD): Violation of Integrity
UN Human Rights Committee (HRCttee) condemns IGM Practices

IGM as a Harmful Practice: 2015 UN-CRC Briefing
• IGM: A Survivor’s Perspective • Intersex Movement History
• What are Variations of Sex Anatomy?  • What are IGM Practices?
• IGM and Human Rights  • Conclusion: IGM is a Harmful Practice
>>> Download PDF (3.14 MB)     >>> Table of Contents

Eliminating IGM practices by holding the perpetrators accountable via well-established applicable human rights frameworks, including Inhuman Treatment and Harmful Practices – Presentation @ UN expert meeting on Intersex Human Rights
>>> Download PDF (831kb)

CCPR127 > Mexico Questioned About Intersex Genital Mutilation by UN


CCPR 127nd Session @ Palais Wilson, Geneva 16.10.2019, 14:56h: Getting ready …
Left row, upper third (half hidden): Mr. Christopher Arif Bulkan who asked about IGM.

Zwischengeschlecht.org on FacebookIGM = Torture, NOT 'Discrimination' or 'Gender Identity'This week, the UN Human Rights Committee (HRCttee) as the Treaty body monitoring the implementation of the International Covenant on Civil and Political Rights (CCPR) is examining the human rights record of Mexico during its 127nd Session in Geneva, transmitted LIVE on webtv.un.org!

A thematic intersex NGO report by Brújula Intersexual, Vivir y Ser Intersex and StopIGM.org proves that IGM continues in Mexico with impunity – despite a previous reprimand by CEDAW – and further documents lack of effective and sustainable action to protect all intersex children, which was also highlighted in the bilingual Joint Intersex NGO Oral Statement (PDF) during the private NGO meeting on 14.10.2019 (excerpt):

“The high poverty rate in Mexico produces a deficient health system which not everyone can access, so there are cases of intersex people who escaped IGM, but do not have access to necessary medical treatment. Additionally, some intersex children are denied birth certificates, preventing them from enrolling in school.

While some official agencies, including the Human Rights Commission of Mexico City (CDHDF) and the Ministry of Health have expressed interest in protecting intersex human rights, this interest has remained mostly one-off and inconsequential. Notably, the 2019 CDHDF Report to this Committee keeps silent about IGM, despite raising medical violence and referring to the CEDAW Concluding Observations.”

StopIGM.org is reporting LIVE from Geneva, hoping the Committee will ask tough questions on IGM practices in Mexico!

Session 1, Wed 16 October 2019, 15-18h CEST

15:58h (Video @ 0:59:20): YAY!! Committee expert Mr. Christopher Arif Bulkan raises “intersex genital mutilation”! Asks about steps undertaken to prohibit IGM, and guarantee access to adequate counselling and support! :-) Unofficial Transcript:

“Regarding intersex genital mutilation, there are a lot of issues arising here, but given the time limitations, can you say whether Mexico intends to prohibit surgical or other medical treatment of intersex children or on intersex children, until they are old enough to give their free, prior and informed consent? And can you say whether mesures will be adopted that would provide adequate counselling and support to intersex children and their families?”

18:03h: Session closing … As the delegation didn’t answer yet on intersex, they will have tomorrow.

Session 2, Thu 17 October 2019, 10-13h CEST

10:10h (Video @ 0:06:55): Delegation member Mr. Diego Ruiz Gayol (Ministry of Foreign Affairs, Permanent Mexican Mission in Geneva) non-answers on IGM, claims all surgery is done to “improve the health” of the mutilated children! :-( Unofficial Translation (from original Spanish):

“With respect to intersex persons, we can point out that health institutions follow international protocols on the management of children with conditions of sexual differentiation, surgeries are performed only when they are justified by medical evidence, have the consent of the person or their parents or guardians and have the sole objective of improving health.” 

10:37h: YAY!! Committee expert Ms. Hélène Tigroudja raises lack of access to birth certificates for intersex children, notes this can result that they can’t be enrolled in school, leading to multiple harm. :-) Unofficial Transcript (of UN simultaneous translation from original French):

“Now the third obstacle has to do with a category of population that was already addressed by Mr. Bulkan, this the intersex children. According to information that we have here also there is a registration problem, because we don’t know in the end what sex to indicate at birth. And the dramatic consequence that raises from this is since there is no identity document, they’re not going to schools, and then it’s a double and triple victimisation for this sector.

So a very simple question: what are the statistics, the official statistic that the State could provide? We have numbers, but numbers that vary depending on the source, depending ont the CSO or NGO that provided this statistic. Also, are the measures taken to …” 

10:58h: (Video @ 0:55:12): YAY!! Committee expert Mr. Christopher Arif Bulkan follows-up on intersex children and “intersex genital mutilation”! Refers to reports indicating IGM is pervasive and unchallenged, notes regulations are not binding, further notes lack of legislative protections, are there any plans to legislate, as the legal prohibition of torture is not applied to intersex children? Further raises lack of access to needed health care due to poverty or in rural communities, any plans and strategies:-( Unofficial Transcript:

“And finally, about follow-up, if I could ask you about the situation faced by intersex persons in Mexico, and again, thank you for your replies on this, but as some of the documents that I’ve seen talk about the intersex genital mutilation being both pervasive and unchallenged in Mexico, and perhaps one of the issues is the criteria that you mentioned seems not to be incorporated in legislation, so it’s not binding. Can you clarify this for me and to say whether if that’s so whether there is any plan to legislate these criteria?

What I’ve learned is that the legal prohibitions on torture for instance, while again, there might be progressive, they’re not applied to intersex children. And one last thing about intersex children is this question of accessing health care, so quite apart from medical and surgical procedures they often require a higher level of medical care and given the information around poverty and access to health care by persons in rural communities I wonder if there are any plans or strategies to role out these protections to those who might be outside of the capital. So thank you again for your replies on these issues.”

12:30h (Video @ 2:27:02): Delegation member Mr. Rafael Barcelo Durazo (Ministry of Foreign Affairs, Subject: Deputy Director General for International Human Rights Policy, Secretary for Foreign Affairs) insults the intersex community gives more non-answers on intersex children or “sexual differentiation diseases”, respectively. Claims NGOs would use wrong definition of intersex, as “sexual differentiation diseases” would “need proper treatment” to help them with their “sexual and reproductive health”, repeats claim “we don’t do unnecessary surgery”, insists it would be “corrective surgery”:-( Unofficial Translation (from original Spanish):

“In conclusion, in relation to the question raised by the expert Bulkan regarding the concern expressed by various civil society organisations about genital mutilation in intersex patients. It is important to point out that this concern is due to confusion in relation to the meaning of the word intersex, which has been used indistinctly to refer to people with different conditions of gender, sexual identity, sexual orientation or diseases of sexual differentiation.

Patients with sexual differentiation disorders, which are carriers of congenital alterations that cause the chromosomal, gonadal and anatomical sex to be discordant, should not be included under the term intersex state, which means that they require effective treatment to improve their health, preserve life, sexual and reproductive function.

In the health institutions of our country, unnecessary surgeries are not performed on intersex persons, and those performed on patients always follow the criteria of necessity, and are corrective to provide a function when justified by scientific evidence. Thank you very much.”

12:38h: Answer on birth certificates (but probably not re: intersex children as far as I heard, full transcript to follow.)

 

 

2019-CCPR-Mexico-NGO-Intersex-Brujula-StopIGMCountry: Mexico
Treaty Body: Human Rights Committee (HRCttee-CCPR)
Convention: International Covenant on Civil and Political Rights (CCPR)
Download Intersex NGO Report: PDF (636 kb)
Report by: Brújula Intersexual, Vivir y Ser Intersex, StopIGM.org
Next Steps in Review Cycle: Examination @ CCPR 127th Session, 16.-17.10.2019; Concl Obs due November
>>> Full Timeline Previous UN Reprimands: CEDAW (2018)

See also:
“Harmful Medical Practice”: UN, COE, ACHPR, IACHR condem IGM
46 UN Reprimands for IGM – and counting …
UN Committee for the Rights of the Child (CRC): IGM = Harmful Practice + Violence
UN Committee against Torture (CAT): IGM = Inhuman Treatment or Torture
UN Women’s Rights Committee (CEDAW): IGM = Harmful Practice
UN Committee on the Rights of Persons with Disabilities (CRPD): Violation of Integrity
UN Human Rights Committee (HRCttee) condemns IGM Practices

IGM as a Harmful Practice: 2015 UN-CRC Briefing
• IGM: A Survivor’s Perspective • Intersex Movement History
• What are Variations of Sex Anatomy?  • What are IGM Practices?
• IGM and Human Rights  • Conclusion: IGM is a Harmful Practice
>>> Download PDF (3.14 MB)     >>> Table of Contents

Eliminating IGM practices by holding the perpetrators accountable via well-established applicable human rights frameworks, including Inhuman Treatment and Harmful Practices – Presentation @ UN expert meeting on Intersex Human Rights
>>> Download PDF (831kb)

 

CCPR127 > Belgium Questioned About Intersex Genital Mutilation by UN


CCPR 127nd Session @ Palais Wilson, Geneva 15.10.2019, 15:04h: Getting ready …
Right row, center (reading in a blue folder): Ms. Vasilka Sancin who asked about IGM.

Zwischengeschlecht.org on FacebookIGM = Torture, NOT 'Discrimination' or 'Gender Identity'This week, the UN Human Rights Committee (HRCttee) as the Treaty body monitoring the implementation of the International Covenant on Civil and Political Rights (CCPR) is examining the human rights record of Belgium during its 127nd Session in Geneva, transmitted LIVE on webtv.un.org!

A thematic intersex NGO report by Intersex Belgium and StopIGM.org proves that IGM continues in Belgium with impunity – despite a previous reprimand by CRC – and documents lack of meaningful consultation with intersex NGOs, as Belgium authorities in fact only consult with IGM doctors, IGM-associated researchers and LGBT organisations, which was also highlighted in the Joint Intersex NGO Oral Statement during the private NGO meeting on 14.10.2019 (excerpt):

“The Government exclusively frames intersex in medical and LGBT terms and as a discrimination, diversity or health care issue, but conveniently ignores the ongoing IGM practices, which is also evident in the State report.

Since 2016 the Government has spent a lot of money on meetings and publications on intersex, but all the money went to researchers affiliated with IGM practitioners and intersex people were excluded and marginalised.”

StopIGM.org reported LIVE from Geneva, hoping the Committee will ask tough questions on IGM practices in Belgium!

Session 1, Tue 15 October 2019, 15-18h CEST

15:37h (Video @ 37:28): YAY!! Committee expert Ms. Vasilka Sancin raises intersex children! Notes lack of action to protect intersex persons, and the lack of remedies for those who suffered! :-) Unofficial Transcript:

“And we also heard some concerns about the lack of action by the Belgian authorities when it comes to the rights of intersex persons, especially when they’re subjected to irreversibles surgical operations. So I would appreciate also some information on the steps taken in Belgium to ensure the appropriate protection of intersex persons in Belgium and also whether there are some measures developed in order to ensure the necessary and appropriate assistance to persons who suffered from these practices.”

17:38h (Video): Delegation member Mr. Philippe Wéry (Adviser, Human Rights Department, Directorate General Legislation, Fundamental Rights and Freedoms, Federal Public Service Justice) (non-)answers on IGM, claims government is aware of the problem, is listening to cicil society, is convinced further measures are necessary, namely awareness training, mentions law on the rights of patients, right to consent of the child exercised by parents, discusses LGBT“I” action plan, actions conducted, studies on terms used and care provided, refers to “dialogues” and “sounding bords”, website “Idem” (all this is documented and discussed in the NGO report (PDF, p. 9-13) as insufficient and counter-productice measures!), further mentions upcoming project of short film funded by gov (but concerning which intersex NGOs were again not consulted).  :-( Unofficial Translation (from original French):

“On the aspects related to intersex people, so the federal government is obviously aware of the problems faced by intersex people. He has taken note with great interest of the recommendations of civil society and is listening to their concerns. The federal government is convinced that measures are needed to ensure better protection against discrimination of intersex people and recognizes the importance of raising public awareness and training experts and wants to prevent and pursue actions to this end. Finally, the government wishes to continue to rely on dialogue with civil society to ensure the development of policies adapted to the real needs of intersex people and respectful of human rights.

The point you also made is, and I think it’s also important, that the law does not require the use of treatment to end intersex. As a reminder, children remain under the authority of their parents until they reach the age of majority. It is therefore up to them to take the necessary decisions regarding the health of their child, and the law on patients’ rights states that this is done by parents or guardians.

But it is quite clear that the issue of finally medical normalization operations, as some call it, cannot be limited to this question of parental authority in medical matters, and that government initiatives are necessary, as I mentioned just before, for the information, awareness and training of all the actors concerned by this issue.

So, during the last legislature by adopting the inter-federal action plan against discrimination and violence against LGBTI people, therefore 2018-2019 the governments of the different levels of power have committed themselves to preventing and combating discrimination and violence against people on the basis of their intersex condition. And to achieve this objective, several actions have been carried out, and emphasis has been placed both on improving knowledge of the situation of intersex people [indiscernable] and on studies on terminology and the discourse of care relating to intersex people and on the quality of life of intersex people.

The second element is the establishment of resonance groups that aim to improve dialogue with intersex people and equal rights. This resonance group is composed of civil society, intersex people, parents of intersex children, researchers, members of the medical profession and the corresponding administration. They deal in particular with the themes of terminology, access to healthcare in Belgium and public awareness, visibility and information provision.

Last but not least, the funding of tools, a short film for young people and an information brochure for parents of intersex children will be published soon, which have been funded by the federal government, and an information website on intersex issues called www.ideminfo.be was launched in 2018 with funding from the Flemish government. That is what I wanted to say in this regard.”

Session 2, Wed 16 October 2019, 10-13h CEST

10:02h: Session resumed, if there is any follow-up on intersex and IGM, we’ll post it here!

10:46h: YAY!! Committee expert Ms. Vasilka Sancin follows-up on “intersex genital mutilation”! Notes efforts of government detailled by delegation yesterday, raises CRC recommendations to prohibit IGM and lift statutes of limitations, as well as remedies, counselling and support, including to adult IGM survivors! :-) Unofficial Transcript:

“I would like to first return to the issue number 10, follow-up question to our yesterday’s discussion. And I would like to welcome all the policy measures and the dialogue that the State party entered into with the Civil society, with the medical community when it comes to this intersex genital mutilation.

However, I would also like to note that in the Concluding Observations of the Committee on the Rights of the Child earlier this year, the Committee urged the State party to enter into some legislative measures, to consider prohibiting any unnecessary medical or surgical treatment of intersex children especially when these are irrevocable.

And furthermore the State party was also asked to consider to lift the statutes of limitations for such violations especially when they’re committed in a very early age.

I would also like to know whether in addition to dialogue with Civil society there are also any undertakings under way where you would provide some councelling and support as effective remedies not only to children but also to adults who were victims of such violations in their early age.”

11:40h: Delegation member Mr. Eric van den Bosch non-answers on “intersex medical normalisation”. Basically repeats non-answer by his colleague yesterday, reiterates all the insufficient and counter-productive gov initiatives, says government wants to do more awareness-raising to foster respectful approach to transgender identity, again claims gov would insult consult with intersex civil society, mentions a “trans and inter network”no answer to the actual question on legislative measures at all! What an outrage!! :-( Unofficial Transcript (of UN simultaneous translation from original French):

“Thank you very much, good morning to all. So to come back to Mrs Sancin’s question with regard to the issue of medical normalisation.

I think we answered it yesterday. I will not go back to this more specifically, except to mention that we had indeed stressed the need for more information and awareness on the subject. I would just like to remind you that a short film for young people and an information brochure for parents of intersex children will be published soon. They have been funded by the Federal Government and that an information website on intersex issues has been launched in 2018 and is funded by the Flemish Government.

In addition, I would like to add that civil society is indeed working on this issue, in particular to raise awareness of psycho-medico-social services, which will be based on an approach that respects transsidents and intersex.

More specifically, I would like to talk about Genres Pluriels, which created the trans and inter-Belgian psycho-medico-social network and which aims at the best access to trans and inter-specific health care. In particular, they aim at a more respectful and adapted and depathologising welcome and an exchange of knowledge between its professionals, so this would be an action by civil society on this issue which aims at a better welcome, a better awareness. Thank you.”

12:50h: YAY!! Committee expert Ms. Vasilka Sancin again follows-up on “intersex genital mutilation”! Notes she did not receive an answer on legal prohibition of IGM, nor on lifting the statutes of limitations. :-) Unofficial Transcript:

“I would like to note that while some answer was repeated with regard to intersex genital mutilation I have not received the answer to my question whether there are some legislative measures considered since such practices should be prohibited and at least there should be some consideration of a possibility to withdraw the statutes of limitations for such offences.”

2019-CCPR-Belgium-NGO-Intersex-StopIGMCountry: Belgium
Treaty Body: Human Rights Committee (HRCttee-CCPR)
Convention: International Covenant on Civil and Political Rights (CCPR)
Download Intersex NGO Report: PDF (581 kb)
Report by: Intersex Belgium, StopIGM.org
Next Steps in Review Cycle: Examination @ CCPR 127th Session, 15.-16.10.2019; Concl Obs due November
>>> Full Timeline Previous UN Reprimands: CRC (2019)

See also:
“Harmful Medical Practice”: UN, COE, ACHPR, IACHR condem IGM
46 UN Reprimands for IGM – and counting …
UN Committee for the Rights of the Child (CRC): IGM = Harmful Practice + Violence
UN Committee against Torture (CAT): IGM = Inhuman Treatment or Torture
UN Women’s Rights Committee (CEDAW): IGM = Harmful Practice
UN Committee on the Rights of Persons with Disabilities (CRPD): Violation of Integrity
UN Human Rights Committee (HRCttee) condemns IGM Practices

IGM as a Harmful Practice: 2015 UN-CRC Briefing
• IGM: A Survivor’s Perspective • Intersex Movement History
• What are Variations of Sex Anatomy?  • What are IGM Practices?
• IGM and Human Rights  • Conclusion: IGM is a Harmful Practice
>>> Download PDF (3.14 MB)     >>> Table of Contents

Eliminating IGM practices by holding the perpetrators accountable via well-established applicable human rights frameworks, including Inhuman Treatment and Harmful Practices – Presentation @ UN expert meeting on Intersex Human Rights
>>> Download PDF (831kb)

UN-CRC reprimands Portugal for Intersex Genital Mutilation


Photo: Markus Bauer and Daniela Truffer (StopIGM.org) with the thematic intersex NGO report on Portugal
at the 82nd CRC Session, Palais Wilson, Geneva 20.09.2019

Zwischengeschlecht.org on FacebookPress Release by StopIGM.org, 03.10.2019:

Portugal is another self-declared “intersex human rights champion” that, after recently having adopted legislation aimed at protecting intersex children from IGM practices, now claims to have abolished the practice altogether, echoing similar legislation and claims from Malta.

However, as documented in evidence submitted to the UN Committee on the Rights of the Child (CRC) by StopIGM.org, in both countries all forms of IGM persist with impunity, advocated and paid for by the State. When asked about the obviously continuing mutilations by CRC in Geneva, both Portugal and Malta tried to change the subject, non-answering on “international medical standards” and “transgender legislation” instead. Fortunately, the Committee refused to have the wool pulled over its eyes.

After concluding its 82nd session, CRC has now reprimanded Portugal (and Australia) for IGM practices – just like Malta after the previous session.

In its binding Concluding Observations, the Committee unmistakably condemns IGM in Portugal as a “harmful practice” according to art. 24 (3) of the Convention (just like FGM, which is also covered in the same paragraph of the Concluding Observations), further referring to the CRC-CEDAW Joint General Comment No. 18/31 “on harmful practices” and target 5.3 of the Sustainable Development Goals (“eliminate all harmful practices”).

StopIGM.org welcomes these clear verdicts, marking

  • the very 1st UN reprimand for IGM to Portugal
  • the 23rd UN reprimand for IGM to an EU country
  • now 13 EU countries reprimanded for IGM
  • the 15th and 16th reprimand for IGM by UN CRC
  • in total 46 UN Treaty body reprimands for IGM so far 
  • now 26 states reprimanded in Europe, South America, Africa, Asia and Oceania.

With now both alleged “intersex human rights champions” Malta and Portugal unmasked and reprimanded by CRC, the question remains:

All those who so far inconsiderately and uncritically praised Malta’s and Portugal’s (and others’) tokenist legislation claiming to help but in fact harming intersex children – will they now finally do the right thing and demand effective legislation criminalising IGM and addressing obstacles to redress and justice for IGM survivors, namely the statutes of limitation, in line with CRC, CEDAW, CAT, CRPD, CCPR, the Joint General Comment “on harmful practices”, … ?

CRC82: Full Binding Intersex Recommendations to Portugal

>>> Download full Concl Obs: CRC/C/PRT/CO/5-6 –> para 28 (b)
>>> Full Intersex NGO Report by StopIGM.org (PDF, 942 kb)
>>> Report from Session in Geneva   >>> UN Press Release on Session
>>> Open Letter of Concern about Malta and Portugal to EU Commission

‘E. Violence against children (arts. 19, 24 (3), 28 (2), 34, 37 (a) and 39)

Harmful practices  [art. 24 (3)]

28. With reference to its joint general recommendation No. 31 of the Committee on the Elimination of Discrimination against Women/general comment No. 18 of the Committee on the Rights of the Child on harmful practices (2014) and taking note of target 5.3 of the Sustainable Development Goals, the Committee urges the State party to:

[…]

(b) Continue to implement measures, including legal and administrative, to guarantee that no child, including intersex, is subjected to unnecessary medical or surgical treatment, during infancy or childhood, in line with the rights of children to bodily integrity, autonomy and self-determination, and provide social, medical and psychological services, where necessary, as well as adequate counselling, support and reparations to families with intersex children.’

CRC82: Full Binding Intersex Recommendations to Australia

>>> Download full Concl Obs: CRC/C/AUS/CO/5-6 –> para 31 (b)

‘D. Violence against children (arts. 19, 24 (3), 28 (2), 34, 37 (a) and 39)

Harmful practices  [art. 24 (3)]

31. The Committee welcomes the criminalization of forced marriage and taking note of target 5.3 of the Sustainable Development Goals, urges the State party to:

[…]

(b) Enact legislation explicitly prohibiting coerced sterilisation or unnecessary medical or surgical treatment, guaranteeing bodily integrity and autonomy to intersex children as well as adequate support and counselling to families of intersex children.’

 

See also:
‘Only the Fear of the Judge Will Make IGM Perpetrators Change’
“Harmful Medical Practice”: UN, COE, ACHPR, IACHR condem IGM
46 UN Reprimands for IGM – and counting …
UN Committee for the Rights of the Child (CRC): IGM = Harmful Practice + Violence
UN Committee against Torture (CAT): IGM = Inhuman Treatment or Torture
UN Women’s Rights Committee (CEDAW): IGM = Harmful Practice
UN Committee on the Rights of Persons with Disabilities (CRPD): Violation of Integrity
UN Human Rights Committee (HRCttee) condemns IGM Practices

IGM as a Harmful Practice: 2015 UN-CRC Briefing
• IGM: A Survivor’s Perspective • Intersex Movement History
• What are Variations of Sex Anatomy?  • What are IGM Practices?
• IGM and Human Rights  • Conclusion: IGM is a Harmful Practice
>>> Download PDF (3.14 MB)     >>> Table of Contents

Eliminating IGM practices by holding the perpetrators accountable via well-established applicable human rights frameworks, including Inhuman Treatment and Harmful Practices – Presentation @ UN expert meeting on Intersex Human Rights
>>> Download PDF (831kb)